The Spice Route India
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Newsletter : Vol. 3, Issue 2, 4 October 2022
Our newsletter takes pride in marking the celebration of the first National Family Medicine Day on the 27th September this year. A day to remember the founding of AFPI, but also a day to celebrate the field of family medicine.
In this issue you will find many articles that honour the values, joy, and importance of being general practitioners. A heartfelt letter from a post graduate resident in family medicine will provide you the warmth of solidarity and highlights the satisfying nature of a career in family medicine or primary care. Primary health care is a field that gives us the opportunity to look beyond clinics. Beyond illness. Beyond medicine. Pushes us to go to the communities, understand the resources that people have, and support in the best ways possible. Stories from the rural setting of Gudalur in “In search of Ikigai” underscore this.
There are also articles that will help physicians to educate and empower individuals to prevent illness and maintain wellness. Not to miss ........ continue reading
We are back with the 5th issue of the Spice Route India bulletin. Its been 5 months since the previous one, and a lot has happened since then. So we had the 5th FMPC in Hyderabad on April 9/10/11. And it was the first physical event of AFPI after 2 years. Many of us met each other for the very first time, but it didnt feel so. Thanks to the various continuous online activities.
We conducted a panel discussion, involving PG students and MBBS graduates too. We also organised a quiz to engage the young doctors . Parallely many of our members presented papers.
The Spice Route India was awarded the best SIG ( Special Interest Group) by AFPI . Dr Nitish Garg, was awarded the Best Rising Star of Spice Route India and Kerala state won the Spice Route Best Chapter Award for their active participation in the past two years.
Since then, we have been blessed to have expanded our National Council, since May 2022 with Dr Gunjan Jha, as National Treasurer, Dr Nitish Garg as Chief Image Editor and .......
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By engaging the young minds of budding family physicians of the country, we aim to nurture, guide and encourage them to take this discipline to greater heights
We aim to be able to provide high quality primary health care, which focuses on the body, mind and all the social aspects of well being Develop networking skills and partake responsibilities in all the National, Regional and International events pertaining to the discipline
Dr Paritosh Tiwari works as a family physician at the district hospital at Bahraich. He did his early years of study from Unnao, a small town in Uttar Pradesh and later studied in SN Medical College, Agra. After completing MBBS, he opted for DNB in family medicine in NIMS medical College, Jaipur. He got selected as a medical officer through UPPSC (Uttar Pradesh Public Service Commission) and has worked for 12 years in public health services. He has also done MHSc. in reproductive and sexual medicine from Annamalai University, Tamil Nadu. He has worked in various kinds of public health settings - at additional primary health care centres, primary health care centres, community health care centres, as deputy DTO in TB clinic and currently as a physician at NCD clinic Bahraich. Here he attends to patients suffering from chronic disease like diabetes, hypertension, cardiovascular disease, stroke, and cancer. He is trained in providing chemotherapy to cancer patients as well.
Q How did you get motivated to explore medical field? And how did that journey start for you?
A: I come from a very small village in Uttar Pradesh. In my childhood
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Vitamin B12 deficiency is common in India, as a majority of the population is vegetarian[1]. There are various cutaneous findings associated with cobalamin deficiency, the majority of which are more prevalent in patients with darker skin type. A retrospective and prospective study of 63 individuals with vitamin B12 deficiency related neurological syndromes in India showed that 41 % had skin and mucosal changes, with cheilitis in 31 %,hyperpigmentation in 19 %, hair changes in 9 %, angular cheilitis in 8 %, and vitiligo in 3 %[2]. We present a case of a 58 year old male who presented with an unusual pattern of cutaneous pigmentation on the whole body associated with vitamin B12 deficiency.
A 58 year old male came to us with complaints of shortness of breath on exertion, chest pain on exertion, easy fatigability, hyperpigmentation on face, reticulate hyperpigmentation on chest, upper
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Brought you
to my home
first one of our own.
Thought you'll bring
of course colour
& flower
but also a sense of
Power.
Proudly placed
the gullible you
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"It has been a long day! I'm already tired, I don't know how long I can keep my eyes open", said the young man.
"A little bit further, sir", begged on, Shibu, the forest guide.
This was his first tiger sighting tour, since the Sundarbans opened for tourists after the prolonged lockdown forced upon them by a tiny virus.
Shibu did not want to disappoint his tourists. Tourism was key to their livelihood in this part of the land.
The sun was almost setting down. It would be dark soon and........
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Every second person is eagerly waiting for the rains so that we get some relief from the scorching heat. But, as we welcome monsoon, it brings along with it, a hub of infections too. Monsoons play a perfect breeding ground for all vector- borne, viruses, fungus, and parasites.
Humidity in the air and excessive sweating tends to favour the growth and multiplication of the fungi at a rapid rate. Fungus needs moisture and warmth, and monsoon provides it a conducive atmosphere to thrive and multiply.
Types of fungal infection:
I am Dr Sunita, final year PG in family medicine at the prestigious St John's Medical college Bangalore. After my MBBS, I worked as a Medical Officer serving my bond in Goa under the Directorate Health Services. While I was at my PHC, new out of internship, new to handling a PHC (Primary Health Centre) which provided a range of health services (from emergency, in-patient care, immunisation, outreach clinics), and having to make clinical and administrative decisions, I realised all the skills I needed to have and all the shortcomings in the training of MBBS. The art of general practice and coordinated care with good referral system is not part of our training.
I realised this job has my heart and that there is no end to all that I can do.
But it all depends on what you can do albeit
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As primary care practitioners working closely with the community, a bulk of our practice constitutes chronic lifestyle diseases. It is well known that good dietary practices help in prevention and control of these illnesses. Yet we don’t give due importance or time to diet counselling in our OPD settings.
The reasons for this are manifold. First comes the lack of emphasis on nutrition during our medical training. Apart from the minimal exposure in community medicine and paediatrics, the importance of diet and the role of the medical practitioner in improving nutrition of the patients is largely ignored. The same goes for post graduate training as well where the emphasis is on diagnosis and treatment rather than prevention and support. As a result, most doctors are ill equipped and lack the necessary skills in diet counselling.
Secondly it is the sheer volume
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Medical doctor
After graduating from government medical college Calicut, Kerala I decided to travel and explore the country. What started in my mind as a gap year became exciting 2-3 years where I was living and working with rural and tribal communities across the nation through NGOs working at the grass root level. These travels have changed the way I live, practise and look at life in general. I have many travelogues and I’ll present one place at a time. This one is about the experiences in Gudalur.
It started off very spontaneously and .........
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